Systematic Reviews
Copyright ©The Author(s) 2017.
World J Orthop. Jul 18, 2017; 8(7): 588-601
Published online Jul 18, 2017. doi: 10.5312/wjo.v8.i7.588
Table 2 Treatment algorithms
Ref.Drilling techniqueScaffold/fixationAssociated surgeryJointRehab
Buda et al[15]No drillingHyalofast + PRP3 osteotomyKneesNWB 4 wk, run 6 mo, RTS 12 mo
Gille et al[26]Awl/sharp cannulaChondroGide Fibrin glue2 realignments, 1 capsular shiftKneesImmobilization 1 wk, passive motion 6 wk, NWB 6 wk
Dhollander et al[16]MicrodrillChondroGide + PRP Sutures3 osteotomy + 1 medial patello-femoral ligament reconstructionKneesNWB 2 wk, brace 0-90 for 4 wk, full ROM at 8 wk, Low impact sports 12 mo
Dhollander et al[13]MicrodrillChondrotissue Pin1 osteotomyKneesNWB 2 wk, 0-90o 4 wk, full range 8 wk, RTS 12 mo
Kusano et al[22]AwlChondroGide Suture/fibrin glue28 osteotomyKneesPWB 6 wk, 0-60 4wk
Leunig et al[23]Kirchner wireChondroGide, fibrin glue3 osteoplasty, 2 femoral neck lengthening, drilling of acetabular defectsHipsPWB 6-8 wk, passive motion 6-8 h for 6-8 wk
Pascarella et al[24]Kirchner wireChondroGide Fibrin glueKnees
Anders et al[3]AwlChondroGide Suture/fibrin glueKneesPWB and lymphatic draining massage 3-6 wk, FWB at 4-6 mo, RTS 3-18 mo
Gille et al[28]AwlChondroGide Fibrin glue2 patella realignments, 3 corrective osteotomies, 6 partial menisectomies, 1 ACL reconstructionKnees
Valderrabano et al[17]MicrodrillChondroGide Fibrin glue16 osteotomyAnklesPWB, ROM of < 200 passive motion machine, lymphatic drainage massage 6wks, FWB 6-12 wk, Light sports 12 wk, RTS 5-6 mo
Wiewiorski et al[25]MicrodrillChondroGide Fibrin glueAnkles (talus)PWB and lymphatic draining massage 6 wk, FWB 12 wk
Dhollander et al[29]Slow speed 1.2 mm diameterChondroGide Vicryl 6/0NoKnees (Patellofemoral joint)NWB for 2 wk, FWB at 10 wk, full range of motion at 8 wk, low impact sports 12 mo
Mancini et al[30]Awl/sharp cannulaChondroGide Fibrin glueAll patients had cam-type and/or pincer-type impingement, and underwent arthroscopic femoral head-neck resection arthroplasty and/or arthroscopic acetabular rim trimming and labral reattachment to the acetabular rim with suture anchorsHipsPWB (30% of body weight) for 4 wk, impact sports 3 mo, complete RTS 6 mo
Fontana et al[31]Awl/sharp cannulaChondroGide Fibrin glueAll patients had cam-type and/or pincer-type impingement, and underwent arthroscopic femoral head-neck resection arthroplasty and/or arthroscopic acetabular rim trimming and labral reattachment to the acetabular rim with suture anchorsHipsPWB for 7 wk, light sporting activities 4 wk, low impact sports 6 mo, complete RTS 12 mo
Kubosch et al[32]Not specifiedChondroGide Fibrin glueAll patients also underwent autologous cancellous bone grafting to the siteAnkles (talus)Ankle immobilisation for 2 wk, PWB for 6 wk
Shetty et al[34]MicrodrillTiseel Coltrix (atelocollagen)-KneesPWB for 6 wk, gradual increase to FWB by next 6 wk